Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $806.55 / $2,140.44	Facility		$633.30	$806.55	$2,140.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.41 / $620.41 / $1,190.83	Professional		$620.41	$620.41	$1,190.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.62 / $511.62 / $511.62	Facility		$511.62	$511.62	$511.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.20 / $887.20 / $887.20	Facility		$887.20	$887.20	$887.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $596.34	Professional		$185.20	$185.20	$596.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.20 / $685.24 / $740.80	Facility		$648.20	$685.24	$740.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $416.70 / $416.70	Professional		$166.68	$416.70	$416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.62 / $685.24 / $887.20	Facility		$511.62	$685.24	$887.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $509.30 / $509.30	Professional		$166.68	$509.30	$509.30
United Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $558.79 / $558.79	Professional		$185.20	$558.79	$558.79